Loss Of Cheekbones
Loss of cheek volume — sometimes described as “sunken” or “flattened” cheeks — occurs as the fat pads, collagen, and bone structures that shape the mid-face diminish with age.
This leads to reduced projection, deepening of the nasolabial folds, and a general loss of youthful contour. It’s not simply about filling a hollow; it’s about restoring harmony and lift.
At Haus of Ästhetik, we combine anatomical precision with bio-regenerative science to restore definition and vitality using advanced hyaluronic acid fillers, particularly Mesoestetic Nexha, which contains succinic acid to stimulate cellular renewal.
Overview
Loss of cheek volume — sometimes described as “sunken” or “flattened” cheeks — occurs as the fat pads, collagen, and bone structures that shape the mid-face diminish with age.
This leads to reduced projection, deepening of the nasolabial folds, and a general loss of youthful contour. It’s not simply about filling a hollow; it’s about restoring harmony and lift.
At Haus of Ästhetik, we combine anatomical precision with bio-regenerative science to restore definition and vitality using advanced hyaluronic acid fillers, particularly Mesoestetic Nexha, which contains succinic acid to stimulate cellular renewal.
Most individuals notice mid-face flattening from their late thirties onwards. It affects all genders and skin types, although severity depends on facial anatomy and lifestyle.
For some, the change is subtle; for others, it significantly alters facial proportions and perceived age.
Loss of upper-cheek projection or contour
Heavier nasolabial folds and marionette lines
Reduced cheekbone definition
Flattened or tired facial appearance
Skin laxity and diminished elasticity
No NICE guideline addresses mid-face volume loss or cheekbone restoration. The BNF does not cover HA-based fillers for cheek volume as a distinct guideline.
1. Mesoestetic Nexha Filler Range (20 mg/ml & 25 mg/ml HA + Succinic Acid)
Hyaluronic acid (HA): restores structural volume and hydration in the mid-face.
Succinic acid: a bio-active component of the Krebs Cycle that enhances fibroblast activity, stimulates collagen I and III synthesis, and improves micro-circulation.
Clinical benefits: smoother texture, improved tone, and genuine dermal regeneration beyond mechanical lift.
Why it stands out: while traditional fillers rely solely on HA cross-linking, Nexha’s succinic acid acts at a cellular level to reduce oxidative stress, supporting tissue longevity and radiance.
Typical areas: zygomatic arch, malar prominence, submalar hollow.
2. Teoxane RHA 4 and Ultra Deep
High-elasticity, high-G′ fillers for sculptural contouring and projection.
Provide lift and definition for patients requiring deeper volumisation.
3. Collagen-Stimulating and Skin-Health Support
mesoestetic Age Element Firming Concentrate and LED therapy to enhance post-treatment collagen renewal.
All injectables are prescription-only medicines or regulated medical devices used under MHRA oversight, with traceability and emergency reversal protocols in place.
A full consultation assesses bone structure, soft-tissue distribution, and medical history. Contraindications include pregnancy, lactation, active infection, autoimmune disorders, and hypersensitivity to hyaluronic acid.
Each plan is personalised, often combining Nexha and Teoxane formulations for layered structural support. All procedures comply with CQC Regulation 12 ensuring safe care, informed consent, and documentation of batch codes and reversal options.
Immediate effect: restored mid-face volume, improved cheek contour, and a natural lift to the lower face.
Ongoing benefit: succinic acid continues to stimulate collagen and reduce oxidative stress for up to 6 months after treatment.
Longevity: approximately 12–18 months, depending on metabolism and product selection.Patients typically describe their results as “refreshed but not overdone,” with visible improvement in definition and light reflection across the cheekbones.
Avoid alcohol, heat, and strenuous exercise for 24–48 hours.
Do not massage or apply pressure to treated areas for one week.
Maintain hydration and daily mineral SPF 30+.
Use mesoestetic Anti-Stress Mask or Fast Skin Repair for post-treatment comfort.
Review every 9–12 months to evaluate lift retention and skin quality.
Book a consultation at Haus of Ästhetik for a comprehensive mid-face analysis. We will assess skeletal support, soft-tissue descent, and skin resilience to design a bespoke plan combining regenerative HA and succinic acid science.
All treatments are performed by medically qualified Level 7 practitioners under prescriber supervision, in compliance with CQC and MHRA standards. You will leave with a clear understanding of your treatment pathway, realistic expectations, and written aftercare guidance.